Cancer, a term given to cells that grow rapidly and uncontrolled. Not all cancer's are alike and there are a vast number of different cellular biochemical pathways which can malfunction and lead to this sort of uncontrolled growth. Some cancers will grow and form a large tumor, but stay in the same location, while other cancers are more inclined to shoot out cells and spread throughout the body. This process of spreading is known as metastisis (pronounced muh-ta-stuh-sis). Have you ever wondered why certain types of cancer do this? What is the biological trigger?
In an article published January 17th 2017 in the journal Genes and Development titled "Translation reprogramming is an evolutionarily conserved driver of phenotypic plasticity and therapeutic resistance in melanoma," researchers sought to understand this, and did so by studying an aggressive variety of skin cancer known as melanoma.
What is Metastasis?
Takes Deep Breath ...OKAY! When you hear people talking about metastasis what they are usually referring to is the spread of cancer from one location in the body to another (from one organ to a different organ for instance). Metastasis happens only with malignant tumors, as these tumors have unlimited self-growth and tend to invade surrounding tissues spreading their cells.
Sometimes these tumors invade into our circulatory system, allowing cancer cells to travel through blood vessels to a new site (some other organ perhaps...), where the malignant cells can again invade. It is here that the tumor cell(s) can then begin growing into an entirely new tumor (a metastatic tumor).
This new tumor is composed of cancer cells from where it originated, for instance if a brain tumor metastasizes, spreads and a new tumor starts growing in a persons lung. That new tumor is made up of brain cells gone awry, not lung cancer cells, and the tumor that grows there is a metastatic brain cancer rather than lung cancer.
So What About This Article?
If you are a researcher and you want to better understand metastasis and what makes those cancer cells spread out into the blood stream and form the metastatic tumors, then you need a "good" cancer type to study. The variety studied in this publication is melanoma as it is noted for its aggressive nature, and relatively fast progression to metastasis.
Melanoma cancers come in two flavors (and neither are good): those that grow really quickly (they are termed proliferative, because they proliferate aka divide and make new cells a lot), and those that invade other tissues really quickly (termed invasive). It is known that there is a relationship between the type of melanoma and the expression level of a particular gene called MITF (Microphthalmia-associated transcription factor). When MITF is expressed highly then the cells grow quickly, when MITF expression is kept low then the cells spread but grow more slowly.
Glutamine and the MITF gene
The authors of this paper found that when glutamine, a conditionally essential amino acid (conditionally essential means that many cells can synthesize it but not all. Cancer cells including melanoma can not, and require an outside supply) was limited it resulted in a decrease in the expression of MITF in the cancer cells. The expression of MITF was then shown to be able to be restored by placing the cells back into a solution containing glutamine.
Now you should also know that tumors are large, dense masses of rapidly dividing cells. As such these rapidly dividing cells require quite a bit of nutrients from the body to be able to grow (bastards). Now permeation of those nutrients in a tumor is not at all uniform. The center of a melanoma tumor just does not have access to the same amount of nutrients as say the exterior. The center of a melanoma tumor is often low on a few key amino acids, one of those being... you guessed it, glutamine.
MITF is Affected by another Gene called ATF4
ATF4 or Activating transcription factor 4 is a gene (and a protein) that helps cells deal with stress (its involved in a process called the integrated stress response or ISR). According to the authors ATF4 is responsible for regulating other genes that deal with nutrient related stress like say... a lack of glutamine.
Interestingly an increase in the expression of ATF4 that occurs when glutamine is limited results in the decrease in the expression of MITF that we talked about above. If you will also recall, we discussed that when MITF expression is low cells want to spread (aka they want to metastasize). Which means that the metastasis of these melanoma cells, is actually due to those cells response to the stress of lacking nutrients!
TL;DR
When melanoma cells are starved for nutrients (which happens in the center of melanoma tumors) a cellular pathway is activated intended to deal with nutrient related stress. This pathway limits the expression of a gene MITF which is known to correlate to melanoma tumors spreading. The melanoma spreads, when it gets too hungry, which starts from the inside of the tumor.
Sources
- http://genesdev.cshlp.org/content/early/2017/01/17/gad.290940.116
- https://en.wikipedia.org/wiki/Melanoma
- https://en.wikipedia.org/wiki/Metastasis
- https://en.wikipedia.org/wiki/Malignancy
- https://en.wikipedia.org/wiki/Primary_tumor
- http://www.uniprot.org/uniprot/O75030
- https://en.wikipedia.org/wiki/ATF4
- https://en.wikipedia.org/wiki/Integrated_stress_response
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